• Physical Therapy Rehabilitation Science
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• 제6권2호
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• pp.65-70
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• 2017

Objective: The purpose of this study was to examine the intertester reliability and validity of four nonradiologic measurements of thoracic spine rotation in healthy adults. Design: Descriptive laboratory study. Methods: This study was conducted on 20 male and 20 female university students aged between 19 and 26. To measure thoracic rotation, a goniometer, a bubble inclinometer, a dual inclinometer, and a smartphone application-clinometer were used. The measurement was performed twice for each device and the same measurement was performed by two examiners. The measurements were performed in the lumbar locked position. The arm in the direction of rotation was taken back and placed onto the back of the lumbar region. With right and left trunk rotation, the head was rotated together but remained in the center line so that the axial rotation was maintained. Both examiners performed the measuring procedures and directly handled the measuring instrument. All measurement results were recorded by the recorder. Results: The range of motion (ROM) of thoracic rotation in lumbar locked position for all four devices was 47 degrees. The intra-rater reliability estimates ranged from 0.738 to 0.906 (p<0.05). The inter-rater reliability estimates ranged from 0.736 to 0.853 (p<0.05). The goniometer, bubble inclinometer, dual inclinometer, and smartphone clinometer showed high validity (p<0.05). This result indicates that all four devices may be used by the same examiner and by other examiners obtaining follow-up measurement. Conclusions: The use of the goniometer, bubble inclinometer, dual inclinometer, and smartphone clinometer for measurements in the lumbar locked posture are reliable and valid nonradiologic measures of thoracic rotational ROM in healthy adults.

• 한국운동역학회지
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• 제15권4호
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• pp.181-189
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• 2005

To know the proper impact posture and changes for the various clubs, changes of impact variables according to the change of golf club length was investigated. Swing motions of three male low handicappers including a professional were taken using two high-speed video cameras. Four clubs iron 7, iron 5, iron 3 and driver (wood 1) were selected for this experiment. Three dimensional motion analysis techniques were used to get the kinematical variables. Mathcad and Kwon3D motion analysis program were used to analyze the position, distance and angle data in three dimensions. Major findings of this study were as follows. 1. Lateral position of the head remained more right side of the target up to 3.5cm compared to the setup as the length of the club increased. 2. Left shoulder raised up to 5cm and right shoulder lowered up to 2.5cm compared to setup. The shoulder line opened slightly (maximum 11 degrees) to the target line. 3. Forward lean angle of the trunk decreased up to 4 degrees (more erected) compared to setup. 4. Side lean angle of the trunk increased compared to setup and increased up to 16 degrees as the club length increased. 5. The pelvis moved to the target line direction horizontally and opened up to 31 degrees. Right hip moves laterally to the grip position at the setup. 6. Flexion of the left leg maintained almost constantly but the right leg flexed up to 11 degrees compared to setup. 7. Left arm is straightened but the right arm flexed about 20degrees compared to straight. 8. Center of the shoulders were in front of the knees and toes of the feet. 9. Hands moved to the left (8.7cm), forward (5.7cm) and upward (11.6cm) compared to the setup. This is because of the rotation of pelvis and shoulders. 10. Shaft angle to the ground was smaller than the lie angle of the clubs but it increased close to the lie of the clubs at impact.

• 한국전문물리치료학회지
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• 제27권1호
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• pp.70-77
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• 2020

Background: Neck pain can be caused by any structure in the neck, such as intervertebral discs, ligaments, muscles, facet joints, dura mater, and nerve roots. The hyoid bone is a structure that is also related to head and neck posture, neck movement and pain, but there are no studies on hyoid deviation, neck pain, and range of motion (ROM). Objects: The purpose of this study was to investigate the effect of fascia relaxation and mobilization of the hyoid bone on the ROM, pain, and lateral deviation of the hyoid bone. Methods: Twenty-five patients with neck pain identified by the lateral motion test (10 males [35.13 ± 7.67 years, 172.69 ± 3.90 cm, 78.77 ± 6.96 kg] and 15 females [35.13 ± 10.05 years, 161.11 ± 4.09 cm, 52.59 ± 2.98 kg]) was chosen randomly. Baseline values for pain, neck ROM, and lateral deviation in the hyoid bone were recorded using a visual analogue scale (VAS), goniometer, and tape measure. Then, each patient was treated with hyoid fascia relaxation and mobilization, and all results were recorded after intervention. Comparison of the results before and after intervention was analyzed using paird t-test (p < 0.05). Results: Right rotation, extension, VAS, and rotational asymmetry statistically significant differences (p < 0.05). Right rotation and extension increased ROM, rotational asymmetry ratio and VAS decreased. However, there was no significant difference in flexion, left rotation, center point (p > 0.05). Conclusion: Fascia relaxation and hyoid mobilization could improve the ROM of cervical extension, asymmetry of the cervical rotation and neck pain.

• 척추신경추나의학회지
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• 제8권2호
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• pp.31-38
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• 2013

Objectives : The present study examines the domestic trend of Chuna treatments on lumbar spinal disorder in Korea. Methods : We investigated the studies on Chuna treatments for lumbar spinal disorder via searching 10 Korean web databases. As a result, 63 research papers were found to be analyzed according to their published year, the titles of journals, the types of study, the techniques of Chuna, the instruments for assessment, the Chuna technique and the number of the treatment trials by the cases of lumbar spinal disorder and ethical approvals. Results : The number of the research papers published tends to increase every year. The studies on Chuna treatments were mainly published in The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. The most frequently adopted technique of Chuna in the examined studies was Cox flexion & distraction technique. Visual analogue scale(VAS), oswestry disability questionnaire(ODI) were used as primary means of assessments. The ethical problems of the examined studies needed to be improved. Conclusion : Reviewing the domestic trend of studies on Chuna treatments for lumbar spinal disorder and examining the strong and weak points of those treatments are essential for the future studies. It is anticipated that this review benefits the future in-depth study on the treatments for Chuna in Korean medicine.

• 대한물리의학회지
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• 제10권2호
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• pp.29-34
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• 2015

PURPOSE: The purpose of present study was to introduces an exceptional case in measurement methods (CVA, CRA and Cobb angle) to identify the FHP with verified reliability and validity. Subjects: Three males aged 30 years were recruited: A Normal, B and C who have FHP. METHODS: All the subjects were measured CVA, CRA and Cobb angle with the Photogrammetry and Radiography. RESULTS: The results revealed that it is not enough for measurement methods to identify the FHP using CVA, CRA and Cobb angle. On Photogrammetry values; CVA had $65^{\circ}$, CRA was $148^{\circ}$ of Normal subject A and CVA had $61^{\circ}$, CRA was $149^{\circ}$ of FHP subject B and CVA had $51^{\circ}$, CRA was $149^{\circ}$ of FHP subject C. On Radiography values; CVA had $73^{\circ}$, CRA was $148^{\circ}$ and Cobb was $50^{\circ}$ of Normal subject A and CVA had $70^{\circ}$, CRA was $150^{\circ}$ and Cobb was $53^{\circ}$ of FHP subject B and CVA had $61^{\circ}$, CRA was $153^{\circ}$ and Cobb was $31^{\circ}$ of FHP subject C. CONCLUSION: The reliable CVA, CRA and Cobb angle use methods from the previous studies might not be suitable for the diagnose the FHP. We think that it is necessary to have more detailed evaluation methods and the radiography is also needed for clear evaluations because of some possible exceptions.

• The Journal of Korean Physical Therapy
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• 제33권4호
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• pp.179-186
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• 2021

Background: Patients with advanced asthma and chronic obstructive pulmonary disease (COPD) have postural deviations such as thoracic hyperkyphosis, forward shoulder posture (FSP) due to an increase in head and cervical protraction, reduced shoulder range of motion and a corresponding increase in scapula elevation and upward rotation. Unlike congenital vertebral kyphosis that are permanent and rigid deformities with bony and other structural deformations which cause respiratory impairment, these deformities in these patients may be more flexible. Since the thoracic hyperkyphosis has been implicated as having adverse health consequences it is necessary to evaluated the relationship between thoracic kyphosis and cardiopulmonary functions of patients with COPD and asthma. Methods: It was a cross-sectional analytical study. Eighty-four eligible patients with COPD and asthma were recruited from the Respiratory Unit, Department of Medicine, Lagos University Teaching Hospital (LUTH), and basic anthropometric parameters, pulmonary parameters, cardiovascular parameters, thoracic kyphosis (Cobb) angle and presence of respiratory symptoms of participants were assessed. Data was analyzed using SPSS version 20. Results: There was no significant correlation between the thoracic kyphosis and selected pulmonary parameters (Forced Expiratory Volume in one second (FEV1, p=0.36), Forced Vital Capacity (FVC, p=0.95), Peak Expiratory Flow Rate (PEFR, p=0.16), Thoracic expansion (TE, p=0.27)/cardiovascular parameters (Systolic Blood Pressure (SBP, p=0.108), Diastolic Blood Pressure (DBP, p=0.17) and Pulse Rate (PR, p=0.93) as well as the respiratory symptoms (SGRQ scores, p=0.11) in all subjects. Conclusion: There was no relationship between thoracic kyphosis and selected pulmonary/cardiovascular parameters as well as respiratory symptoms in patients with COPD and asthma.

• The Journal of Korean Physical Therapy
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• 제32권6호
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• pp.341-347
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• 2020

Purpose: The purpose of this study is to introduce a tool for evaluating eye movement and analyze the reliability of measurement based on 10 cases of evaluating the oculomotor function of children with spastic cerebral palsy Methods: The participants were selected by 6 medical and welfare institutions in Busan as GMFCS grade 1-3 among spastic diplegia and hemiplegia. Seven examiners evaluated 3 children for the evaluation of inter-rater agreement of Ocular Motor Score (OMS) and evaluated the condition of the ocular motor of 10 children using OMS, a re-examination was performed at six weeks after the initial examination. SPSS ver.25.0 was used to calculate the interclass correlation coefficient and Wilcoxon's signed-rank test, Mann Whitney-U test. Results: The inter-rater agreement of OMS was 0.89. Second mean values were decreased compared first examination in motility/ductions/version, saccades and smooth pursuit, but there was no significant difference. Children under 6 years old had a high mean value of saccades in first examination and the motility/ductions/version, fixation, saccades in second examination, but there was no significant difference. Spastic diplegia children's mean values were higher in head posture, fixation in 8 gaze directions than hemiplegia children in both first and second examination, but there were no significant differences. Conclusion: Ocular motor function in 10 children of spastic children who participated in the study and could see that the scores was differed depending on age, type, grade of cerebral palsy. OMS may be available for this purpose.

• Physical Therapy Rehabilitation Science
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• 제10권1호
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• pp.76-81
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• 2021

Objective: Smartphone addiction can cause forward head posture, carpal tunnel syndrome and depression, and anxiety. Various interventions have been proposed to resolve Smartphone addiction. However, research regarding the efficacy of these interventions remains lacking. This study was conducted to investigate the effect of tDCS (Transcranial Direct Current Stimulation) on smartphone addiction solution and stress reduction. Design: A randomized controlled trial. Methods: The participants were divided randomly into two group (tDCS vs. Control). tDCS was applied to 41 adults (22.95±2.76 years). The tDCS group was applied 2 mA, for 13 minutes twice over a 26 minute period (n₁ = 21). The control (n₂ = 20) was not applied after padding and was applied twice for 13 minutes over a 26 minute period. This study was conducted four times a week for a total of four weeks. Results: Smartphone addiction for tDCS showed significant improvement in the results in the S-score (p<0.05, 95% CI: 0.702, 4.922), and the result of heart rate (HR) and skin conductivity (SC) to stress. The tDCS group and control group showed no significant decrese in the results in the HR (p>0.05, 95% CI: -3.390, 8.332), but tDCS group showed significant decrese in the results in the SC (p<0.05, 95% CI: 0.060, 1.343) Conclusions: This study suggected that smartphone addiction treatment and decreses of stress. The use of tDCS will reduce the addiction rate of adults and reduce stress, so that possible side effects in society can be solved.

• 한국방사선학회논문지
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• 제17권1호
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• pp.63-69
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• 2023

두·경부 방사선치료에서 환자자세 고정과 재현성을 위하여 사용하는 열가소성플라스틱 마스크는 피부와 밀착되어 산란선을 유발한다. 고정용구 마스크에서 발생되는 산란선으로 인한 피부선량의 증가를 확인하기 위하여 고정용구의 피부밀착 부위를 감소시킴에 따른 산란선의 감소를 CT 스캔한 이미지를 이용하여 전산화치료계획 시스템을 통해 확인하였다. 또한 고정용구의 커버 부위 감소에 따른 셋업의 재현성문제를 확인하기 위하여 DRR과 CT영상을 이용하여 셋업의 차이를 확인하였다. 고정용구로 커버하는 부위를 감소시킴에 따라 피부표면의 선량은 유의하게 감소하였으며 얼굴 전체를 커버하여 고정하지 않아도 재현성에 재현성에 큰 차이가 없음을 확인하였다.

• 한국엔터테인먼트산업학회논문지
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• 제13권1호
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• pp.225-233
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• 2019

본 연구는 컴퓨터 게임과 스트레칭이 근 긴장도와 집중도에 미치는 효과를 알아보고자 연구하였다. 30명의 성인 대학생을 대상으로 120분 동안 컴퓨터 게임을 적용한 후, 스트레칭군 15명과 대조군 15명으로 분류하여 시행하였다. 실험 전에 근 긴장도와 집중도를 측정하였고, 동일한 방법으로 스트레칭 적용 전과 후에 측정하였다. 컴퓨터 게임 60분과 120분 후에 근긴장도를 각각 측정하였다. 연구결과 근 긴장도는 컴퓨터 게임 60분 후와 120분 후에 유의하게 증가하였으며, 스트레칭 중재군에서 유의하게 감소하였다. 집중도는 컴퓨터 게임 후에 유의하게 증가하였으며, 스트레칭 적용 후에는 유의한 차이가 없었다. 본 연구에서는 컴퓨터 게임이 근 긴장도와 집중도를 증가시키고, 스트레칭은 증가된 근 긴장도를 감소시켰다. 이에 컴퓨터 게임 후에 실시하는 적절한 스트레칭은 증가된 근 긴장도로 유발되는 근육뼈대계 질환을 감소시키고, 적절한 게임 콘텐츠의 개발은 효과적인 집중력 훈련의 도구가 될 것이다.